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Get Cal Osha Form 301

(H) Hearing loss (G) On job transfer or restriction Hearing loss Other recordable cases Away from work Poisoning Days away Job transfer from work or restriction Check the Injury column or choose one type of illness: (M) Remained at Work Death Enter the number of days the injured or ill worker was: Poisoning CHECK ONLY ONE box for each case based on the most serious outcome for that case: Respiratory condition (F) Describe injury or illness, parts of.

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